Dr. Fusun Terzioglu., Dogu N., Boztepe H., Gençbaş D., Yuceer B., Akdeniz C.
The objective of this presentation is to analyze evidence-based applications about the effect of Enhanced Recovery After Surgery (ERAS) applications and Kinesio taping (KT) on bowel movements after the cesarean section. Cesarean section is one of the most common types of abdominal surgery in women. Complications such as abdominal distension, paralytic ileus, constipation may develop after delivery by a highly preferred cesarean section, as in other abdominal surgeries. It is important to prevent the development or to manage early of these complications, which decreases the comfort of the mother, affects the mother-infant attachment and the health of the newborn in the postpartum period.In the literature, it is emphasized that the pharmacological applications used in the management of intestinal problems are not preferred due to their side effects and negative effects on the lactation process such as slowing down the sucking functions of the newborn and the importance of the use of non-pharmacological methods. In addition, it is stated that KT and ERAS protocol applications, which are among the non-pharmacological methods, are effective in the prevention and management of post-cesarean intestinal problems.KT improves blood and lymph circulation by applying a continuous pulling force to the facial tissues in the region and providing proprioceptive stimulation of nerve endings in the intestinal reflex area. Early mobilization, early oral hydration, and chewing gum from ERAS applications after the cesarean section also shorten the return time of bowel movements and sounds. Providing early mobilization after cesarean section enables intestines affected by anesthesia to return to the former working order more quickly by stimulating intestinal peristalsis. Early oral hydration stimulates the colon by creating a gastrocolic reflex and creates propulsive contractions. On the other hand, chewing gum increases intestinal motility as it has direct stimulation of the cephalic-vagal reflex, stimulates intestinal myoelectric activity and indirect activation of gastrointestinal hormones, and enhances the secretion of the salivary gland and pancreas. In this paper, the evidence-based practices regarding the effect of the post-cesarean KT method, early oral hydration, early mobilization, and gum chewing on bowel movements will be examined and their place in nursing care in the postpartum period will be evaluated.
Key Words: kinesio tape, ERAS, cesarean section, abdominal surgery, bowel movements, nursing
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